Which depth of burn wound will require surgical debridement and grafting for wound closure?

The requirement for surgical debridement and grafting in burn care is closely related to the depth and severity of the burns. Deep partial thickness burns and full thickness burns are characterized by their significant damage to the skin layers, which impairs the body's ability to heal properly without intervention.

Deep partial thickness burns involve destruction of the epidermis and part of the dermis, which may leave some viable skin that can potentially heal but often results in prolonged healing times and a high risk of complications such as infection or hypertrophic scarring. In many cases, surgical debridement is necessary to remove non-viable tissue and promote a better healing environment. Grafting may also be required to close the wound effectively and improve cosmetic outcomes.

Full thickness burns extend through all layers of the skin and require much more intensive intervention. They do not heal spontaneously due to the destruction of the skin's regenerative cells, necessitating surgical debridement to remove dead tissue and the application of skin grafts to cover the wound.

In summary, both deep partial thickness and full thickness burns often require surgical debridement and skin grafting for proper wound management and closure, making the choice of requiring intervention for both types correct.